Individual
LORI L PEARLMUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2334 W BLUE WILLOW RD, FLAGSTAFF, AZ 86001-0995
(928) 607-6958
Mailing address
PO BOX 23803, FLAGSTAFF, AZ 86002-3803
(928) 607-6958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1482
AZ
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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